Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT192133 | PA |
N | 111NI0900X | Internist | MT192133 | PA |
Y | 207RN0300X | Nephrologist | 246353 | MA |
NPI | 1003078866 |
---|---|
Provider Name | Jie Cui |
First Address | Boston, MA 02114-2752 |
Second Address | Boston, MA 02114-2752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 29/03/2014 |